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Availability of Financial and Medical Resources for Screening Providers and Its Impact on Cancer Screening Uptake and Intervention Programs

Author

Listed:
  • Koshi Takahashi

    (Cancer Prevention and Control Division, Kanagawa Cancer Center Research Institute, 2-3-2 Nakao, Asahi-ku, Yokohama 241-8515, Japan
    Kaneyama Town Clinic, 324-1 Kaneyama, Kaneyama Town, Mogami-gun 999-5402, Japan)

  • Sho Nakamura

    (Cancer Prevention and Control Division, Kanagawa Cancer Center Research Institute, 2-3-2 Nakao, Asahi-ku, Yokohama 241-8515, Japan
    Graduate School of Health Innovation, Kanagawa University of Human Services, 3-25-10 Tonomachi, Kawasaki-ku, Kawasaki 210-0821, Japan)

  • Kaname Watanabe

    (Cancer Prevention and Control Division, Kanagawa Cancer Center Research Institute, 2-3-2 Nakao, Asahi-ku, Yokohama 241-8515, Japan
    Department of Genetic Medicine, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama 241-8515, Japan)

  • Masahiko Sakaguchi

    (Department of Engineering Informatics, Faculty of Information and Communication Engineering, Osaka Electro-Communication University, 18-8 Hatsucho, Neyagawa-shi 572-8530, Japan)

  • Hiroto Narimatsu

    (Cancer Prevention and Control Division, Kanagawa Cancer Center Research Institute, 2-3-2 Nakao, Asahi-ku, Yokohama 241-8515, Japan
    Graduate School of Health Innovation, Kanagawa University of Human Services, 3-25-10 Tonomachi, Kawasaki-ku, Kawasaki 210-0821, Japan
    Department of Genetic Medicine, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama 241-8515, Japan)

Abstract

Interventions for residents and medical/financial resources available to screening providers can improve cancer screening rates. Yet the mechanisms by which the interactions of these factors affect the screening rates remain unknown. This study employed structural equation modeling to analyze the mechanisms underlying these factors. Data for Japanese municipalities’ medical/financial status, their implementation of screening interventions, and the number of municipality-based cancer screening appointments from April 2016 to March 2017 were obtained from an open database. Five cancer screenings were included: gastric, lung, colorectal, breast, and cervical cancer screening; all are nationally recommended for population screening in Japan. We defined two latent variables, namely, intervention for residents and medical/financial resources, and then analyzed the relationships between these variables and screening rates using structural equation modeling. Models were constructed for gastric, lung, and breast cancer screening, and similar relationships were observed. With these cancer types, medical/financial resources affected the intervention for residents, directly affecting screening rates. One limitation of this study is that it only included screening by municipalities, which may cause selection bias. In conclusion, financial pressures and lack of medical resources may cause a reduction in screening intervention programs, leading to stagnant screening rates. Ensuring consistent implementation of interventions for residents may improve local and regional cancer screening rates.

Suggested Citation

  • Koshi Takahashi & Sho Nakamura & Kaname Watanabe & Masahiko Sakaguchi & Hiroto Narimatsu, 2022. "Availability of Financial and Medical Resources for Screening Providers and Its Impact on Cancer Screening Uptake and Intervention Programs," IJERPH, MDPI, vol. 19(18), pages 1-15, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11477-:d:913002
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    References listed on IDEAS

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    1. Jonah Musa & Chad J Achenbach & Linda C O’Dwyer & Charlesnika T Evans & Megan McHugh & Lifang Hou & Melissa A Simon & Robert L Murphy & Neil Jordan, 2017. "Effect of cervical cancer education and provider recommendation for screening on screening rates: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-28, September.
    2. Rosseel, Yves, 2012. "lavaan: An R Package for Structural Equation Modeling," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 48(i02).
    3. Sarah Noman & Hayati Kadir Shahar & Hejar Abdul Rahman & Suriani Ismail & Musheer Abdulwahid Al-Jaberi & Meram Azzani, 2020. "The Effectiveness of Educational Interventions on Breast Cancer Screening Uptake, Knowledge, and Beliefs among Women: A Systematic Review," IJERPH, MDPI, vol. 18(1), pages 1-30, December.
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